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. 2023 Sep;14(3):699-706.
doi: 10.1007/s13193-023-01744-6. Epub 2023 Apr 21.

Intensity Modulated Radiotherapy in Head and Neck Cancer: Initial Experience of the First Treated Cases from North-East India

Jyotiman Nath  1 , Gautam Sarma  2 , Moumita Paul  3 , Mouchumee Bhattacharyya  1 , Apurba Kumar Kalita  1 , Partha Pratim Medhi  2
Affiliations

Intensity Modulated Radiotherapy in Head and Neck Cancer: Initial Experience of the First Treated Cases from North-East India

Jyotiman Nath et al. Indian J Surg Oncol. 2023 Sep.

Abstract

Head and neck cancer incidence is relatively higher in north-eastern states than in other parts of India. Intensity-modulated radiotherapy (IMRT) was first introduced in our institute in 2012 to cater the entire north-east. This study attempts to assess the treatment outcomes and prognostic factors of head and neck cancer patients who had been treated with definitive radiotherapy in our institute from 2012 to 2016 using IMRT. This is a single institutional retrospective study. Thirty-six patients of head and neck cancer other than nasopharynx primary treated with definitive radiotherapy using IMRT between 2012 to 2016 were evaluated. The survival was analyzed using the Kaplan-Meir method, and various clinicopathologic factors were compared. The median age of the study patients was 58 years (range 24-79 years). The majority of the patients (69.4%) were below the age of 50 years. Thirty-two patients (88.9%) were male, and only four (11.1%) were females. After a median follow-up time of 40 months (7-84 months), the 5-year overall survival (OS) was 42.1%. The stage at presentation and radiotherapy treatment time were found to be significant prognostic factors of the outcome. The treatment-related toxicities were within acceptable limits. This retrospective study has reported the outcome and treatment-related toxicities of initially treated HNC patients with IMRT from northeast India.

Keywords: Cancer; Head and neck; IMRT; Northeast India; Radiotherapy.

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Conflict of interest statement

Conflict of InterestThe authors declare no competing interests.

Figures

Fig. 1
Fig. 1
The Kaplan–Meier plot of overall survival
Fig. 2
Fig. 2
Comparison of OS among different stage groups
Fig. 3
Fig. 3
Comparison of OS among different T-stage groups
Fig. 4
Fig. 4
Comparison of OS among different N-stage groups
Fig. 5
Fig. 5
Comparison of OS with respect to radiotherapy treatment duration
See this image and copyright information in PMC

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